26D0652433 CLIA NUMBER - LAWRENCE COUNTY NURSING HOME DISTRICT

Laboratory Demographics

  • CLIA Code: 26D0652433
  • Facility Name: LAWRENCE COUNTY NURSING HOME DISTRICT
  • Facility Address: 915 CARL ALLEN STREET
    MOUNT VERNON, MO
    ZIP 65712
  • Facility Phone: 417 466-2183
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LORENA HILL
  • NPI Number: 1104887561
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 26D0652433
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAWRENCE COUNTY NURSING HOME DISTRICT
Street 915 CARL ALLEN STREET
City MOUNT VERNON
State MO
ZIP 65712
Phone 417 466-2183
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LORENA HILL

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This page was last updated on: 9/29/2025